Kristi Rogers Collins, DMD

Individual provider Active NPI General Practice Dentistry · Saluda, SC

NPI 1396969747 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1396969747
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3521 (SC)
Practice address
101 R L Sawyer MD Dr
Saluda, SC 29138-9199
Phone
(864) 445-8168
Fax
(864) 445-2535
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3521SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saluda Dental Group General Practice Past Accepting new patients
Saluda Smiles Family Dentistry, P.a. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3521 SC Yes

Addresses

Primary practice location

101 R L Sawyer MD Dr
Saluda, SC 29138-9199

Mailing address

PO Box 309
Saluda, SC 29138-0309
Phone (864) 445-8168

Other identifiers

IdentifierTypeStateIssuer
Z35212MedicaidSC

Other providers in Saluda, SC

All providers in Saluda, SC · General Practice Dentistry in South Carolina

Sources for this page

Verify at the official NPI Registry.